Employee Time Report Form, DEP Box 32, Dec 1994

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PMSF t3ei2«4) ADJUSTMENT ___ eZ^LA.I..AJQOA.KrM3r>X.AM;t.

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HHEEhHZI |C-M°UjUI I I IN ENTRY EVENT OATC ENTRY EVENTTIME AGENCY REPORTING 1 SALARY DIFF. 1 TYPE MONTH 1 I DAY I I YEAR TYPE HOURS 1:1 WN DATA CATEGORY I □JI DOLLARS ~T PAY INO

I old ; 3^, mU-o 1 ED □ I NEW SSLSESI 3270 [ men □ Q ] 0213000 l3lo|3 a Sz oo 1 □ lO ] HU ] @212000 130/171 @Z10@ 1111111 uDuznn □ I OLD I l/loll^l dkfTI [^@0Zl nz] UI I I I I NEW3 001127107 □□ UI u 11 im □ ioi?i 12131011 law ] UI I I I I ] □ NEW 1 t^tn^ioin 123061 @000 m ] 1111111 UI 1111 im □

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE ICERTI/Y THAT I HAVE REVII -THE ABOVE I CERTIFY THAT THE ABOVE DaTE WAS ENTERED SUPPORTED BY DOCUM^^TION^ FILE RANSACrtOIS INTOPMS

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DATE DATE DATE

NYC-WTC_000159052